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General NPI Number Information
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NPI Number | 1407672868
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Entity Type | Organization
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Legal Business Name | MARGI SHAH OD, LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 330 BROADWAY STE A
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City | HILLSDALE
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State | NJ
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Zip | 07642-1438
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Country | US
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Telephone | 201-666-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 330 BROADWAY STE A
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City | HILLSDALE
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State | NJ
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Zip | 07642-1438
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Country | US
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Telephone | 201-666-8081
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARGI SHAH
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Credential | OD
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Telephone | 848-391-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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